Dow Mirah, Wang Ting
School of Library and Information Management, Emporia State University, 1 Kellogg Circle, Emporia, KS 66801, USA.
Int J Environ Res Public Health. 2025 May 22;22(6):816. doi: 10.3390/ijerph22060816.
This study explores the current state of science regarding DSM-5 diagnostic criteria for Autism Spectrum Disorder (ASD) in young children. It examines the effectiveness of existing diagnostic methods and evaluates the potential of transdiagnostic approaches for early intervention.
A systematic literature review was conducted using MEDLINE, PsycINFO, and the Psychology and Behavioral Sciences Collection, focusing on peer-reviewed studies published between 2020 and 2023. The search followed PRISMA guidelines, selecting articles investigating ASD diagnosis in toddlers and preschoolers using DSM-5 criteria, behavioral assessments, and emerging diagnostic tools.
Findings indicate that DSM-5 provides a structured framework for ASD diagnosis, but it has limitations in early identification. It is necessary to integrate multiple assessment tools. Recent research highlights transdiagnostic models, which move beyond rigid diagnostic categories to capture the complexities of ASD presentation in young children.
The literature supports a shift towards a transdiagnostic approach that combines behavioral, biological, and environmental assessments. This study underscores the need for interdisciplinary collaboration to refine ASD diagnostic frameworks to ensure more accurate and timely diagnoses that better serve affected children and their families.
本研究探讨了关于幼儿自闭症谱系障碍(ASD)的《精神疾病诊断与统计手册》第五版(DSM-5)诊断标准的科学现状。它考察了现有诊断方法的有效性,并评估了跨诊断方法用于早期干预的潜力。
使用MEDLINE、PsycINFO以及心理学与行为科学合集进行了系统的文献综述,重点关注2020年至2023年发表的同行评审研究。检索遵循PRISMA指南,选择使用DSM-5标准、行为评估和新兴诊断工具对幼儿和学龄前儿童的ASD诊断进行调查的文章。
研究结果表明,DSM-5为ASD诊断提供了一个结构化框架,但在早期识别方面存在局限性。有必要整合多种评估工具。近期研究强调了跨诊断模型,该模型超越了严格的诊断类别,以捕捉幼儿ASD表现的复杂性。
文献支持向结合行为、生物和环境评估的跨诊断方法转变。本研究强调了跨学科合作的必要性,以完善ASD诊断框架,确保更准确、及时的诊断,更好地服务于受影响的儿童及其家庭。